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Stent failure: the diagnosis and management of intracoronary stent restenosis.

Title: Stent failure: the diagnosis and management of intracoronary stent restenosis.
Authors: Protty MB; Morriston Cardiac Centre, Swansea Bay University Local Health Board, Swansea, UK.; Systems Immunity Research Institute, Cardiff University, Cardiff, UK.; Dissanayake T; Morriston Cardiac Centre, Swansea Bay University Local Health Board, Swansea, UK.; Jeffery D; Morriston Cardiac Centre, Swansea Bay University Local Health Board, Swansea, UK.; Hailan A; Morriston Cardiac Centre, Swansea Bay University Local Health Board, Swansea, UK.; Choudhury A; Morriston Cardiac Centre, Swansea Bay University Local Health Board, Swansea, UK.
Source: Expert review of cardiovascular therapy [Expert Rev Cardiovasc Ther] 2023 Jul-Dec; Vol. 21 (7), pp. 501-506. Date of Electronic Publication: 2023 Jun 05.
Publication Type: Journal Article; Review
Language: English
Journal Info: Publisher: Taylor & Francis Country of Publication: England NLM ID: 101182328 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1744-8344 (Electronic) Linking ISSN: 14779072 NLM ISO Abbreviation: Expert Rev Cardiovasc Ther Subsets: MEDLINE
Imprint Name(s): Publication: 2015- : Abingdon, Oxford : Taylor & Francis; Original Publication: London, UK : Future Drugs Ltd.
MeSH Terms: Percutaneous Coronary Intervention*/adverse effects ; Percutaneous Coronary Intervention*/methods ; Drug-Eluting Stents*/adverse effects ; Coronary Restenosis*/diagnostic imaging ; Coronary Restenosis*/etiology; Stents/adverse effects ; Constriction, Pathologic/complications ; Coronary Angiography/adverse effects ; Humans ; Treatment Outcome ; Prosthesis Design ; Risk Factors
Abstract: Introduction: Despite advances in stent technology for percutaneous coronary intervention (PCI) in the treatment of coronary disease, these procedures can be complicated by stent failure manifested as intracoronary stent restenosis (ISR). Even with advances in stent technology and medical therapy, this complication is reported to affect around 10% of all percutaneous coronary intervention (PCI) procedures. Depending on stent type (drug-eluting versus bare metal), ISR has subtle differences in mechanism and timing and offers different challenges in diagnosing etiology and subsequent treatment options.; Areas Covered: This review will be visiting the definition, pathophysiology, and risk factors of ISR.; Expert Opinion: The evidence behind management options has been illustrated with the aid of real life clinical cases and summarized in a proposed management algorithm.
Contributed Indexing: Keywords: coronary artery disease; in-stent restenosis; intracoronary stent restenosis; ischemic heart disease; percutaneous coronary intervention
Entry Date(s): Date Created: 20230603 Date Completed: 20230630 Latest Revision: 20230630
Update Code: 20260130
DOI: 10.1080/14779072.2023.2221852
PMID: 37269322
Database: MEDLINE

Journal Article; Review